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The Affordable Care Act required insurers participating in the health insurance exchanges to offer low-income consumers reductions in their cost-sharing burden. yellow yves saint laurent logo bedding set Cost-sharing refers to the division of payments for healthcare services between insurers and the individuals they cover. Premiums, copayments, and deductibles are all forms of cost sharing. Under the ACA, individuals earning between 100 percent and 250 percent of the federal poverty level are eligible for a reduction in their share of these costs, paying as little as 6 percent of a plan’s costs, compared to 30 percent under a standard silver-level plan. The rule would also allow states to relax the ACA’s requirement that insurers spend at least 80 percent of revenue on medical services. States could set this percentage lower if they show
CMS that it would stabilize their insurance market. The Internal Revenue Service was given responsibility for collecting the fine, assessed annually as a tax penalty during the income tax filing period. The law established a hardship exemption from the fine for individuals who meet certain qualifications—such as being homeless, being a victim of domestic violence, or filing for bankruptcy. This proposed rule was a response President Donald Trump’s October 12, 2017, executive order. Other changes in the rule included an adjustment to the methodology for calculating risk adjustment payments, which try to balance risk among insurers on the exchanges, raising the percentage increase in premiums that requires government review from 10 percent to 15 percent, and removing standardized plan options. “Foreign countries and their government-run health-care systems bully our drug manufacturers into unrealistically low prices, allowing other countries to freeload off of American innovation.”




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